{"id":67385,"date":"2025-01-16T13:30:26","date_gmt":"2025-01-16T11:30:26","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/?p=67385"},"modified":"2025-01-16T11:52:05","modified_gmt":"2025-01-16T09:52:05","slug":"ambulatorines-sveikatos-prieziuros-pokyciai-ka-svarbu-zinoti-pacientams","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/ambulatorines-sveikatos-prieziuros-pokyciai-ka-svarbu-zinoti-pacientams\/","title":{"rendered":"Ambulatorin\u0117s sveikatos prie\u017ei\u016bros poky\u010diai: k\u0105 svarbu \u017einoti pacientams?"},"content":{"rendered":"

Visgi, pirmin\u0117s sveikatos prie\u017ei\u016bros \u012fstaigoms nebelieka prievol\u0117s u\u017etikrinti nepertraukiam\u0105 prisira\u0161iusi\u0173 prie gydymo \u012fstaigos apdraust\u0173 PSD pacient\u0173 sveikatos prie\u017ei\u016br\u0105. \u0160ilut\u0117s rajono gyventojams svarbu, \u017einoti, kad kreipiantis \u012f Pri\u0117mimo-skubios pagalbos skyri\u0173 (toliau \u2013 Pri\u0117mimo skyrius) \u0161eimos gydytojo nedarbo metu, jeigu j\u0173 sveikatos b\u016bkl\u0117 neatitiks skubios ambulatorin\u0117s pagalbos ar b\u016btinosios pagalbos indikacij\u0173, u\u017e paslaugas Pri\u0117mimo skyriuje gali tekti susimok\u0117ti.<\/p>\n

\u0160eimos gydytojai teiks skubi\u0105 ambulatorin\u0119 pagalb\u0105<\/strong><\/em><\/p>\n

Pagal nauj\u0105 tvark\u0105, pirmin\u0117s sveikatos prie\u017ei\u016bros \u012fstaigos darb\u0105 prad\u0117s tarp 7 ir 8 val. ryto. Paslaugos visa apimtimi bus teikiamos 12 valand\u0173 per dien\u0105, 5 darbo dienas per savait\u0119.<\/p>\n

\u012esigaliojus numatytiems pakeitimams, pirmin\u0117s ambulatorin\u0117s sveikatos prie\u017ei\u016bros paslauga (skubi ambulatorin\u0117 paslauga) \u016bmi\u0173 b\u016bkli\u0173 atveju turi b\u016bti suteikta ne v\u0117liau kaip per 24 valandas. Sveikatos apsaugos ministerija (toliau \u2013 SAM) yra parengusi\u00a0 \u016bmi\u0173 b\u016bkli\u0173, kurioms esant teikiama skubi ambulatorin\u0117 paslauga, s\u0105ra\u0161\u0105.<\/p>\n

\u012e s\u0105ra\u0161\u0105 \u012ftraukiamos situacijos, reikalaujan\u010dios greito gydymo, pavyzd\u017eiui, skausmas, nepraeinantis vartojant maksimalias vaist\u0173 nuo skausmo dozes, ilgalaikis kar\u0161\u010diavimas, nesunkios traumos, \u016bmios alergin\u0117s reakcijos, pasikartojantis pykinimas ar v\u0117mimas, u\u017esit\u0119s\u0119 \u0161irdies ritmo sutrikimai. Vaikams taip pat numatytos b\u016bkl\u0117s, tokios kaip kar\u0161\u010diavimas >37,8\u00b0C ilgiau nei 24 val., b\u0117rimas, skausmas ar pavir\u0161in\u0117s \u017eaizdos.<\/p>\n

Pavyzd\u017eiui, \u012f savo \u0161eimos gydytoj\u0105 tur\u0117tum\u0117te kreiptis, jei jau\u010diate stipr\u0173 galvos skausm\u0105, kuris nepraeina po \u012fprast\u0173 priemoni\u0173, arba ilgiau nei 24 valandas laikosi kar\u0161\u010diavimas. Atsiradus b\u0117rimui ar \u017eaizdai, kuri pradeda p\u016bliuoti ar \u012fkandus gyv\u016bnui (kai nereikalingas chirurginis \u017eaizdos sutvarkymas), gydytojas taip pat suteiks reikiam\u0105 pagalb\u0105.<\/p>\n

Visas \u016bmi\u0173 b\u016bkli\u0173 s\u0105ra\u0161as skelbiamas SAM 2024 m. lapkri\u010dio 20 d. \u012fsakymu Nr. V-1133 \u201eD\u0117l Lietuvos Respublikos sveikatos apsaugos ministro 2005 m. gruod\u017eio 5 d. \u012fsakymo Nr. V-943 \u201eD\u0117l Pirmin\u0117s ambulatorin\u0117s asmens sveikatos prie\u017ei\u016bros paslaug\u0173 teikimo organizavimo ir \u0161i\u0173 paslaug\u0173 i\u0161laid\u0173 apmok\u0117jimo tvarkos apra\u0161o tvirtinimo\u201c pakeitimo\u201c.<\/p>\n

D\u0117l \u012fstaigos, kurioje dirba j\u016bs\u0173 \u0161eimos gydytojas, atnaujinto darbo laiko ir paslaug\u0173 teikimo j\u0173 nedarbo metu tvarkos, turite kreiptis \u012f \u0161ias \u012fstaigas.<\/p>\n

Kada u\u017e paslaugas Pri\u0117mimo skyriuje gali tekti susimok\u0117ti?<\/strong><\/em><\/p>\n

Primename, kad Pri\u0117mimo skyriuje paslaugos teikiamos tik d\u0117l \u016bmi\u0173 b\u016bkli\u0173, kuomet gresia realus pavojus pacient\u0173 sveikatai ar gyvybei. \u012e ligonin\u0119 poilsio, \u0161ventin\u0117mis dienomis, nakt\u012f vykstama ar pagalba telefonu 112 kvie\u010diama tik tada, kai staiga i\u0161kyla reali gr\u0117sm\u0117 \u017emogaus sveikatai, gyvybei. Pavyzd\u017eiui, patekus \u012f auto\u012fvyk\u012f, stipriai susi\u017eeidus, \u016bmiai apsinuodijus, nusideginus, praradus s\u0105mon\u0119, esant tokiai b\u016bklei, d\u0117l kurios gali sutrikti gyvybi\u0161kai svarbi\u0173 organizmo funkcij\u0173 veikla.<\/p>\n

SAM 2004 m. baland\u017eio 8 dienos \u012fsakymu \u201eD\u0117l B\u016btinosios medicinos pagalbos teikimo tvarkos ir masto apra\u0161o patvirtinimo\u201d\u00a0 patvirtintas Skubiosios medicinos pagalbos mastas apibr\u0117\u017eia \u016bmias klinikines b\u016bkles arba skubiosios medicinos pagalbos teikimo indikacijas, nuo kuri\u0173 priklauso kaip greitai pacientui turi b\u016bti prad\u0117ta teikti pagalba.<\/p>\n

Iki 2025 met\u0173 sausio 1 d. \u012f \u0160ilut\u0117s ligonin\u0117s Pri\u0117mimo skyri\u0173 pacientai gal\u0117davo kreiptis ir j\u0173 \u0161eimos gydytojo nedarbo metu. \u0160ilut\u0117s rajone bei kai kurie Pag\u0117giuose veikiantys pirmin\u0117s sveikatos prie\u017ei\u016bros centrai buvo sudar\u0119 sutartis su ligonine, nes pagal tuometini\u0173 teis\u0117s akt\u0173 nuostatas, visos \u0161eimos medicinos paslaugas teikian\u010dios \u012fstaigos buvo \u012fpareigotos u\u017etikrinti nepertraukiam\u0105 pacient\u0173 sveikatos prie\u017ei\u016br\u0105. U\u017e Pri\u0117mimo skyriuje suteiktas paslaugas, kurios b\u016bdavo priskiriamos \u0161eimos gydytojo kompetencijai, apmok\u0117davo \u012fstaiga, prie kurios prisira\u0161\u0119s pacientas.<\/p>\n

\u012esigaliojus naujam pirmin\u0117s ambulatorin\u0117s sveikatos prie\u017ei\u016bros paslaug\u0173 teikimo modeliui, pirmin\u0117s sveikatos prie\u017ei\u016bros centrams nebelieka prievol\u0117s u\u017etikrinti nepertraukiam\u0105 prisira\u0161iusi\u0173 prie gydymo \u012fstaigos apdraust\u0173 PSD pacient\u0173 sveikatos prie\u017ei\u016br\u0105. Taigi, jeigu pacientas kreipsis \u012f Pri\u0117mimo skyri\u0173 ir jo b\u016bkl\u0117 neatitiks skubiosios ambulatorin\u0117s pagalbos ar b\u016btinosios pagalbos indikacij\u0173 (tai \u012fvertina Pri\u0117mimo skyriaus gydytojas), jam gali b\u016bti rekomenduojama kreiptis \u012f savo \u0161eimos gydytoj\u0105 artimiausi\u0105 darbo dien\u0105 ir gauti paslaugas nemokamai.<\/p>\n

Jei pacientas nesutiks kreiptis \u012f \u0161eimos gydytoj\u0105, paslaugos Pri\u0117mimo skyriuje bus mokamos. V\u0161\u012e \u0160ilut\u0117s ligonin\u0117s mokam\u0173 paslaug\u0173 s\u0105ra\u0161as ir kainos skelbiami \u012fstaigos tinklalapyje www.silutesligonine.lt\/mokamos\/. Pri\u0117mimo skubiosios pagalbos paslaugos kainuoja nuo 27 Eur, galutin\u0117 paslaug\u0173 kaina priklauso nuo papildomai atliekam\u0173 tyrim\u0173 bei skiriamo gydymo.<\/p>\n

Neretai pacientai reikalauja greitosios medicinos pagalbos (toliau \u2013 GMP) darbuotoj\u0173 b\u016bti ve\u017eami \u012f skubios pagalbos skyri\u0173, ta\u010diau atvykimas GMP automobiliu negarantuoja, kad pacientui reikalinga b\u016btinoji ar skubi ambulatorin\u0117 pagalba. Jei Pri\u0117mimo skyriaus gydytojas nustatys, kad pagalba nepriklauso \u0161ioms b\u016bkl\u0117ms, u\u017e paslaugas gali tekti susimok\u0117ti, net ir atvykus GMP automobiliu.<\/p>\n

\u201ePri\u0117mimo skyriaus gydytojams jau teko susidurti su atvejais, kai pacientai atsisak\u0117 mok\u0117ti u\u017e paslaugas, kurios neatitiko skubios ambulatorin\u0117s ar b\u016btinosios pagalbos kriterij\u0173, ir i\u0161\u0117jo i\u0161 skyriaus. Kol kas vienintelis pacient\u0173 argumentas, kod\u0117l u\u017e paslaugas mok\u0117ti nenori \u2013 \u201ea\u0161 moku mokes\u010dius\u201c. Ta\u010diau teis\u0117s aktai reglamentuoja, kokios paslaugos ir pagal kokias indikacijas pacientams yra apmokamos PSDF l\u0117\u0161omis. Suprantame, kad pacientams naujoji tvarka gali kelti klausim\u0173 ar nepatogum\u0173, ta\u010diau norime pabr\u0117\u017eti, jog dirbame pagal \u012fstatymus ir SAM \u012fsakymus, reglamentuojan\u010dius pasikeitusi\u0105 ambulatorini\u0173 paslaug\u0173 teikimo tvark\u0105. Tikim\u0117s, kad pirmin\u0117s sveikatos prie\u017ei\u016bros centrai taip pat vykdys savo prievol\u0119 informuoti pacientus apie pasikeitusias paslaug\u0173 teikimo s\u0105lygas\u201c,\u00a0 \u2013 informuoja l. e. p. vyriausiojo gydytojo pavaduotoja medicinai Greta Und\u017eyt\u0117.<\/p>\n

\u0160ilut\u0117s ligonin\u0117s administracijos inf.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Visgi, pirmin\u0117s sveikatos prie\u017ei\u016bros \u012fstaigoms nebelieka prievol\u0117s u\u017etikrinti nepertraukiam\u0105 prisira\u0161iusi\u0173 prie gydymo \u012fstaigos apdraust\u0173 PSD pacient\u0173 sveikatos prie\u017ei\u016br\u0105. \u0160ilut\u0117s rajono gyventojams svarbu, \u017einoti, kad kreipiantis \u012f Pri\u0117mimo-skubios pagalbos skyri\u0173 (toliau \u2013 Pri\u0117mimo skyrius) \u0161eimos gydytojo nedarbo metu, jeigu j\u0173 sveikatos b\u016bkl\u0117 neatitiks skubios ambulatorin\u0117s pagalbos ar b\u016btinosios pagalbos indikacij\u0173, u\u017e paslaugas Pri\u0117mimo skyriuje gali tekti […]<\/p>\n","protected":false},"author":2,"featured_media":67386,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[47],"class_list":["post-67385","post","type-post","status-publish","format-standard","has-post-thumbnail","category-sveikatos-saltinis","tag-pirmasis"],"yoast_head":"\nAmbulatorin\u0117s sveikatos prie\u017ei\u016bros poky\u010diai: k\u0105 svarbu \u017einoti pacientams? - \u0160ilut\u0117s naujienos<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.silutesnaujienos.lt\/lt\/ambulatorines-sveikatos-prieziuros-pokyciai-ka-svarbu-zinoti-pacientams\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ambulatorin\u0117s sveikatos prie\u017ei\u016bros poky\u010diai: 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